Our expert says:
Endometriosis will give painful periods but not infections. She may have a chronic low grade candida infection or chronic low grade pelvic infection. If she is on the pill, try stopping the pill for a while (use condoms). She may need a sonar of the pelvis, and a papsmear or endometrial biopsy to confirm diagnosis of infection. If endometriosis is suspected, she may need a laparoscopic examination under anaesthetic.
It may be worth testing for Chlamydia.
see also http://www.cdc.gov/std/PID/STDFact-PID.htm
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